81513
HCPCS Procedure Code
HCPCS code 81513 is the #652 most-billed Medicaid procedure code, with $114.2M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $71.32.
Total Paid
$114.2M
0.01% of all spending
Total Claims
2.0M
Providers
429
Avg Cost/Claim
$57
National Cost Distribution
How much do providers bill per claim for 81513? Based on 385 providers billing this code nationally.
Median
$71.32
Average
$73.81
Std Dev
$53.42
Max
$452.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.22 and $103.44 per claim for this code.
90% bill between $11.22 and $131.64.
Top 1% bill above $233.43.
About This Procedure
HCPCS code 81513 was billed by 429 providers across 2.0M claims, totaling $114.2M in Medicaid payments from 2018–2024. This code was used for 1.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$71.32
Providers Billing
385
National Spending
$114.2M
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81513
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $11.2M |
| 2 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $7.1M |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $6.4M |
| 4 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $6.3M |
| 5 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $4.8M |
| 6 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $4.1M |
| 7 | Quest Diagnostics Llc Il Schaumburg, IL · Clinical Medical Laboratory | $4.0M |
| 8 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $3.5M |
| 9 | 1881697464 | $3.2M |
| 10 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $3.0M |
| 11 | A2cl Services, Llc West Allis, WI · Clinical Medical Laboratory | $2.7M |
| 12 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $2.5M |
| 13 | 1801826680 | $2.1M |
| 14 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $1.8M |
| 15 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $1.7M |
| 16 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $1.7M |
| 17 | 1891873303 | $1.6M |
| 18 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $1.6M |
| 19 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $1.5M |
| 20 | Tricore Inc. Albuquerque, NM · Clinical Medical Laboratory | $1.4M |
Showing top 20 of 429 providers billing this code